I am having high bp problem from last 15 years and taking medicine regularly. From last six months now having problem of premature beats or can say ectopic frequently. Doctors changes medicine from concor 5 to dilzem 180 to olkem trio to cardron 200. But there is no improvements. Please guide me what should I do or is there any chance of heart attack or faliuare on this conditions. Please suggest me the permanent treatment for this please thanks with regards.

Dr. Paramjeet SinghCardiologist10yrs exp

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Get a holter monitoring test done You need to understand about high blood pressure.� Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels 4) your lifestyle - smoking, drinking, exercise� Stress, less sleep, smoking, alcohol, overweight, heart, kidney problems, lack of physical exercise. All of these can cause High blood pressure. You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up.� Highblood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. �The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with this, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. My advice to you would be 1) Keep a BP daily record for at least one week & Every time you need to measure BP twice with a gap of 15 mins 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT� Renal doppler� Get back to me with a detailed history and� old / new records for a better individualized advice.  

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